Third Party Billing by oogACE

VIEWS: 8 PAGES: 2

									                           922 N. Washington Avenue, Ludington, MI 49431
                             Phone: 800-261-4919  Fax: 866-892-2478
                         www.theradapt.com  customerservice@theradapt.com

    IMPORTANT INFORMATION REGARDING THIRD PARTY BILLING
TherAdapt® Products Inc. sells to customers around the world and across the United States. We are able to help you
facilitate payment from a third party payer such as your Private Medical Insurance Carrier or Medicaid, but we are not
able to bill these parties directly. Procurement of third party funding for medically necessary durable medical
equipment can usually be obtained by following the procedures outlined below.

                                           Private Medical Insurance
Step 1: Prior to contacting your insurance company, have the following information at hand:

   Primary insurance company name:
   Policy number:                                              Group number:
   Policy holder’s name:
   Insured’s name:                                             Date of birth:

Step 2: Verify the following information with the insurance company customer service representative:

   Customer service phone number:
   Contact person:
   Billing / Claims address:
   Customer service fax number:
   Case manager’s name:                                        No case manager:
   Case manager phone:                                         Fax:

Step 3: Ask the following questions:

   Does                      have coverage for Durable Medical Equipment?: YES
   Is there a contract with a preferred provider?: YES
   Who is the preferred provider?:
   Phone number of preferred provider:                         Contact:
   Is there a Deductible?: YES                                 What is the amount?: _$
   What is the coverage benefit amount / percentage?:
   Is Pre-certification / authorization required?: YES
   What steps do I need to take?:


   Is there a separate claim status phone number?:
If there is a secondary insurance company or co-insurance follow the above procedure for that company as well.
Step 4: Do the following:


    Obtain a “Letter of medical Necessity” from your Physical Therapist, Occupational Therapist, Physician, or other
appropriate allied healthcare professional. Examples of these letters for the products of our manufacture, that are
generally considered medically necessary, can be found at www.theradapt.com.
    Have your Physician provide a written “Prescription” that defines or itemizes the exact adaptive equipment that is
being recommended.
    If there is NOT a preferred provider contact us at 800-261-4919 or quotes@theradapt.com for a written “Quote” that
lists the model number, description, and price of the recommended items. Note: if you are working with a preferred
provider they will obtain this information.
    If there is NOT a preferred provider, file the necessary claims forms and / or submit the information to the insurance
company (companies) for prior approval. If you are working with a preferred Durable Medical Equipment Provider
follow their procedure.
Many parents and caregivers will do one of the following once the pre-approval process is completed:

   Purchase the product(s) from TherAdapt® Products Inc. using a personal check or credit card (Visa, MasterCard,
American Express, or Discover). Orders are processed and shipped immediately. Reimbursement is made to you from
the insurance company.
   Wait to receive a check from the insurance company, then purchase the equipment from TherAdapt® Products Inc.
using a personal check or credit card (Visa, MasterCard, American Express, or Discover). Order will be shipped once
payment in full is received.
   Request the insurance company endorse the check to:
                                     TherAdapt® Products Inc.
                                     922 N. Washington Ave.
                                     Ludington, MI 49431
                   Your order will be shipped once payment in full is received.




                                                     Medicaid
The acquisition of medically necessary durable medical equipment, that is to be funded by Medicaid, must be provided
through a Medicaid approved Durable Medical Equipment Supplier in your state. To assist in this process it is helpful
to do the following:

   Obtain a “Letter of medical Necessity” from your Physical Therapist, Occupational Therapist, Physician, or other
appropriate allied healthcare professional. Examples of these letters for the products of our manufacture, that are
generally considered medically necessary, can be found, along with specific product information, at
www.theradapt.com.
   Have your Physician provide a written “Prescription” that defines or itemizes the exact adaptive equipment that is
being recommended.

If you need assistance in finding a Durable Medical Equipment (DME) supplier in your area please select the “Dealer
Info” button on our website, call us at 800-261-4919, or e-mail us at customerservice@theradapt.com.




We recommend you keep a log of who you spoke with and when as you follow up on the status of your claim.

Date    Contact                    Summary




Thank you for choosing TherAdapt® Products Inc. If you have any questions or need further assistance, please feel
free to contact us 24 hours a day at customerservice@theradapt.com or call us at 800-261-4919 to reach a customer
service representative. Our office hours are Monday – Friday 9:00am – 5:00pm, EST. We are here to help!

								
To top